Evaluating the Effect of Automatic Plan Assignment and Enhanced Outreach of Marketplace Take-up

Evaluating the Effect of Automatic Plan Assignment and Enhanced Outreach of Marketplace Take-up

Facilitated enrollment offers a potential solution to some administrative burdens and choice frictions that may produce incomplete take-up of marketplace coverage. Because Covered California, California's ACA individual marketplace, and Medi-Cal, California's Medicaid program, share an eligibility system, Covered California has the ability to identify individuals who are eligible for marketplace coverage upon losing Medicaid eligibility.

This evaluation will compare the effectiveness of facilitated enrollment strategies, including personalized plan pre-selection and personalized quotes of net premiums, to other enhanced, but general outreach tactics, on marketplace take-up among individuals losing Medi-Cal coverage.

Inclusion Criteria:

• Individual in a single-member household
• Discontinued from Medi-Cal
• Eligible for Covered California program
• Ineligible for APTCs on initial application
• Did not attest to planning to file taxes within their Covered California application

Exclusion Criteria:

• Consumer case is no longer active within the application system
• Consumer is already actively enrolled in a marketplace plan
• Consumer has already restored Medi-Cal eligibility
• A consumer's Special Enrollment Period has ended
• Consumer is no longer listed as a single-member household
• Consumer was procedurally denied from Medi-Cal coverage due to no response
• Consumers has a MAGI Medi-Cal income less than 138% of the Federal Poverty Level (FPL)